Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Majestic Care Of Bryan during CMS and state inspections, most recent first.
A facility failed to prevent resident-to-resident sexual abuse involving two residents. One resident, who was moderately cognitively impaired, was inappropriately touched by another resident. Another resident, with severe dementia, was also inappropriately touched by the same resident. The incidents occurred when the LPN responsible for one-on-one supervision left the resident unsupervised, violating the facility's abuse prevention policy.
A facility failed to implement ongoing interventions for a resident with quadriplegia and other conditions, affecting their discharge planning. Despite having a care plan, there was a lack of documentation and follow-up on discharge interventions until two months after admission. The resident expressed a desire to return home, but the LSW did not consistently assist with discharge progress or application processes, leading to a deficiency.
A resident with multiple health issues, including dysphagia, was not properly monitored during mealtime, leading to a choking incident. Despite a change in diet and speech therapy orders, the resident was left unsupervised with a meal, resulting in no food consumption and spilled food and liquids. Staff were unaware of the need for monitoring, highlighting a deficiency in care.
A resident with multiple diagnoses, including cerebral infarction and hemiplegia, was not provided with the required incontinence care as per their care plan. The resident, who was always incontinent of bowel and bladder, was not checked or repositioned for extended periods, contrary to the care plan's requirement for two-hour checks. Staff were unaware of this requirement, and the resident was found incontinent without timely care, resulting in reddened skin areas.
The facility did not maintain RN coverage for at least eight consecutive hours a day, seven days a week, as required. Staffing schedules showed that on three occasions, there was no RN coverage for a full 24-hour period, potentially affecting all 90 residents. The DON confirmed the absence of RN hours on these dates.
A resident with quadriplegia and pressure ulcers did not receive wound care as ordered by the physician. The facility failed to apply dressings correctly, with observations showing a soiled and peeling dressing on the right ischium and a missing dressing on the left hip. Staff interviews revealed a lack of awareness and communication about the wound care orders, and the DON confirmed the non-compliance with the physician's orders and facility policy.
A resident with schizoaffective disorder did not receive prescribed doses of Risperdal on multiple occasions due to unavailability in the facility. An LPN and CNP confirmed the medication was not in stock, and the DON verified the documentation of these incidents. The facility's policy mandates accurate administration and documentation of medications.
A resident with multiple diagnoses did not receive scheduled showers on several occasions and was denied requested showers on two specific days. The facility's policy allows for showers at any time the resident chooses, but this was not adhered to, as confirmed by the Interim DON.
Failure to Prevent Resident-to-Resident Sexual Abuse
Penalty
Summary
The facility failed to prevent resident-to-resident sexual abuse, affecting two residents. Resident #8, who was moderately cognitively impaired, was involved in an incident where another resident, Resident #9, touched her breast on top of her clothing. Later, Resident #9 was observed with his hand down Resident #8's shirt. These incidents occurred while the nurse was completing her morning medication pass. Resident #12, who had severe dementia and was rarely understood, was also involved in an incident with Resident #9. Resident #9 was witnessed touching Resident #12's brief near her crotch area before staff could intervene. Later, Resident #9 was found with his hand in Resident #12's pants while she was in her wheelchair. These incidents occurred when the LPN responsible for one-on-one supervision left Resident #9 unsupervised to assist other residents and visitors. The facility's policy on abuse prevention was not adhered to, as Resident #9 was left unsupervised despite being placed on one-on-one staff supervision after the first incident. The failure to maintain supervision allowed Resident #9 to engage in inappropriate behavior with both Resident #8 and Resident #12, leading to the deficiency.
Failure in Discharge Planning for Resident with Complex Needs
Penalty
Summary
The facility failed to ensure ongoing interventions were implemented to promote the discharge of a resident with quadriplegia, cervical spinal cord injury, and other medical conditions. The resident was admitted with a stage IV pressure ulcer and had a discharge goal to return home after healing. The baseline care plan included interventions such as discussing discharge desires, initiating community resources, and involving family or representatives. However, there was a lack of documentation and follow-up on these interventions until a social services note was made two months after admission. The Licensed Social Worker (LSW) discussed discharge planning with the resident, who expressed a desire to return home after healing. Despite this, there was minimal documentation of progress or follow-up on discharge planning. The LSW confirmed that they had not returned to assist the resident with discharge progress or application processes. This lack of consistent and documented discharge planning led to the deficiency identified by the surveyors.
Failure to Monitor Resident During Mealtime
Penalty
Summary
The facility failed to provide necessary interventions and monitoring for a resident who had difficulty consuming meals, leading to a choking incident. The resident, who was admitted with multiple diagnoses including chronic obstructive pulmonary disease, vascular dementia, and cognitive communication deficit, required a mechanically altered diet and assistance with eating. Despite these needs, the resident experienced a choking episode while eating a burrito, which required back blows to resolve. Following this incident, the resident's diet was changed to dysphagia advanced, and a speech therapy evaluation was ordered to manage the resident's swallowing difficulties. On a subsequent observation, the resident was found alone in her room, attempting to eat a mechanically altered diet without any staff supervision. The resident was seated in bed with the privacy curtain drawn, obstructing the view from the corridor. The resident did not consume any of the meal provided, and food and liquids were spilled on her clothing and bed linens. A staff member confirmed that the meal tray was placed in the room without returning to assist the resident, and was unaware of the resident's need for monitoring during meals. This lack of supervision and assistance during mealtime was confirmed by a Regional Registered Nurse during a review of the medical record.
Failure to Implement Incontinence Care Plan
Penalty
Summary
The facility failed to provide and implement appropriate interventions for a resident's incontinence needs, as observed during a survey. The resident, who was admitted with multiple diagnoses including cerebral infarction and hemiplegia, was always incontinent of bowel and bladder and required substantial assistance with activities of daily living. The care plan for the resident included frequent checks and changes for incontinence, but observations revealed that these interventions were not consistently implemented. Specifically, the resident was not checked for incontinence or repositioned for extended periods while in a wheelchair, contrary to the care plan's requirement for two-hour checks. During the survey, it was noted that the staff was unaware of the resident's need for two-hour incontinence checks, and the electronic documentation did not reflect this requirement. The resident was found to have been incontinent of urine and stool without timely care, resulting in reddened areas on the skin. The facility's bowel and bladder management policy emphasized the need for strategic interventions, but these were not effectively applied in this case, leading to the deficiency noted in the report.
Failure to Maintain RN Coverage
Penalty
Summary
The facility failed to ensure the presence of a registered nurse (RN) in-house for at least eight consecutive hours a day, seven days a week, as required. This deficiency was identified through a review of staffing schedules and staff interviews. Specifically, the facility's staffing schedules for the period between June 1, 2024, and June 30, 2024, revealed that there were three dates—June 9, June 20, and June 27—where there was no RN coverage for a full 24-hour period. This lack of RN coverage had the potential to affect all 90 residents residing in the facility, as confirmed by the Director of Nursing (DON) during an interview on July 2, 2024. The DON verified the absence of RN hours on the specified dates, confirming the deficiency.
Failure to Implement Physician-Ordered Wound Care
Penalty
Summary
The facility failed to ensure that pressure ulcer wound dressings and preventative interventions were implemented as ordered by the physician for a resident with quadriplegia and multiple medical conditions, including stage three and stage four pressure ulcers. The resident was admitted with these pressure ulcers, and the care plan included specific interventions to prevent further skin integrity issues. However, the facility did not adhere to the physician's orders for wound treatment, which included specific instructions for dressing changes and applications. On a particular day, the resident reported that wound dressing treatments were not completed the previous day, and observations confirmed that the dressings were not applied as ordered. The right ischium dressing was found to be soiled and peeling, with no date or initials indicating when it was last changed, and the left hip dressing was not applied. Interviews with staff revealed a lack of awareness and communication regarding the wound dressings, and the Director of Nursing verified the non-compliance with the physician's orders and facility policy.
Medication Administration Deficiency
Penalty
Summary
The facility failed to ensure that medications were administered as ordered by the physician, resulting in a significant medication error for a resident diagnosed with multiple conditions, including schizoaffective disorder. The resident was prescribed Risperdal, an antipsychotic medication, to be administered in specific dosages in the morning and at bedtime. However, on multiple occasions, the medication was not available for administration, as documented in the nursing progress notes. Specifically, the medication was unavailable on three separate dates, and the absence of the medication was noted in the medical record. During an observation, an LPN was unable to locate the prescribed Risperdal in the medication cart and the facility's contingency medication storage. The LPN notified a CNP, who confirmed that the medication was not available in the facility. The Director of Nursing later confirmed the entries in the progress notes indicating the unavailability of the medication. The facility's medication policy requires that medications be administered as prescribed and documented accurately, including reasons for non-administration and any negative outcomes. This deficiency was investigated under a specific complaint number.
Failure to Provide Scheduled Showers
Penalty
Summary
The facility failed to ensure that a resident dependent on care received showers as scheduled or per request. Resident #14, who had diagnoses including a fracture of the right lower leg, spinal stenosis, and heart failure, was scheduled for routine showers on Mondays and Thursdays. However, the resident only received showers on 05/02/24, 05/06/24, 05/16/24, and 05/27/24, and refused a shower on 05/20/24. There was no evidence that the resident received showers on 05/09/24, 05/13/24, 05/23/24, or 05/24/24 as scheduled or requested. The resident confirmed that she asked for a shower on 05/23/24 and 05/24/24 but did not receive one until 05/27/24. An interview with the Interim Director of Nursing confirmed the lack of evidence for the missed showers. The facility's policy, revised in 01/2021, stated that showers could be given at any time the resident chooses and are typically scheduled twice a week unless additional showers are requested. This deficiency was investigated under Complaint Number OH00153677.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Bryan
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Williams Co Hillside Country L | 1 mi | — | 0 | 0 |
| Evergreen Healthcare Center | 8.2 mi | — | 1 | 0 |
| Park View Care Center | 9.7 mi | — | 9 | 0 |
| Fairlawn Haven | 14.5 mi | — | 0 | 0 |
| Vancrest Of Hicksville | 14.8 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.